MCH Final Exam Questions & Correct Solutions (100%)
A nurse is caring for a child who is on clear liquid diet. Lunch, the child
consumbed .5 cup of juice and 3oz of jello 1 oz ice pop and 20 ml of ginger ale
with medications. How many ml should the nurse chart as the childs intake?
Right Ans - 260
nurse planning care of infant. Most appropriate site to assess pulse? Right
Ans - Apex of the heart
Teaching parent of a toddler about nutrition. What should be included?
Right Ans - Decreased interest in eating
Born with spina bifida. Instructor asks student what other condition may be
present with spina bifida. She is accurate with which answer? Right Ans -
Hydrocephalus
Pedi hotline receives call from mother how plans to admin ASA to toddler for
a fever and what to know the dosage Right Ans - Give her acetaminophen
not ASA
Caring for child who has been phys abused by a family member. Appropriate
statemtn for the nurse to say to the child? Right Ans - It is not your fault
that this happened
Type of play is noted in all children at time but this remains the primary form
of play for a child it may be sign of developmental delays Right Ans -
Onlooker play
Hearing impaired children are at risk for which of the following Right Ans -
Speech impairments
Caring for an adolescent who has a newly applied fiberglass cast for fractured
tibia. Immediately following application of the cast the nurse should recognize
that the priority action is to do... Right Ans - Perform a neurovascular
assessment
An infant has an elevated bilirubin and the provider has requested
phototherapy at the mother's bedside. What education should the nurse
, provide to the mother regarding use of the bili lights? Select all. Right Ans -
Use an eye shield on infant, Increase oral intake to the infant, Keep infant
supine?, Protect genital area fro bili lights
Client in labor has external fetal monitor. Nurse nots late decels and interprets
them as indicating which of the following? Right Ans - Delivery of fetus is
imminent
the nurse knows that all women should perform self breast exams to ID
changes. If a woman telephones your clinic and reports a lump in her breast
what is the nurse's best response to her? Right Ans - Please make an apt to
come to the clinic. The provider will see you and discuss options after an
exam.
Pregnant client presents to L&D with no prenatal care and it is quickly
determined to ultrasound that she is 39wks gest. What lab specimens must
the nurse obtain which will direct the care given to the client. Select all.
Right Ans - Group b strep, CBC, Blood type and Rh
6wks. She has had previous spontaneous abortion at 14wks and pregnancy
that she delievered vaginally at 39wks. What is her gravidity and parity using
the GTPAL system? Right Ans - 3-1-0-1-1
a woman arrives at the clinical for pregnancy test. The first day of her last
menstrual period was july 21, 2015. What is her EDD using Naegles Rule?
Right Ans - Apr. 28, 2016
Woman presents to the ED with complaints of unilateral LQ ab pain and some
vaginal bleeding. She relates having a positive home pregnancy test 1 wk ago.
What should the nurse be concerned about with this patient? Right Ans -
She may be experiencing an ectopic pregnancy
30wk pregnant client is receiving mg sulfate for preeclampsia. Nursing
interventions that a nurse will complete while administering mg sulfate to this
patient. Select all Right Ans - provide continuous fetal monitoring, Foley
cath for urinary output
A nurse is caring for a child who is on clear liquid diet. Lunch, the child
consumbed .5 cup of juice and 3oz of jello 1 oz ice pop and 20 ml of ginger ale
with medications. How many ml should the nurse chart as the childs intake?
Right Ans - 260
nurse planning care of infant. Most appropriate site to assess pulse? Right
Ans - Apex of the heart
Teaching parent of a toddler about nutrition. What should be included?
Right Ans - Decreased interest in eating
Born with spina bifida. Instructor asks student what other condition may be
present with spina bifida. She is accurate with which answer? Right Ans -
Hydrocephalus
Pedi hotline receives call from mother how plans to admin ASA to toddler for
a fever and what to know the dosage Right Ans - Give her acetaminophen
not ASA
Caring for child who has been phys abused by a family member. Appropriate
statemtn for the nurse to say to the child? Right Ans - It is not your fault
that this happened
Type of play is noted in all children at time but this remains the primary form
of play for a child it may be sign of developmental delays Right Ans -
Onlooker play
Hearing impaired children are at risk for which of the following Right Ans -
Speech impairments
Caring for an adolescent who has a newly applied fiberglass cast for fractured
tibia. Immediately following application of the cast the nurse should recognize
that the priority action is to do... Right Ans - Perform a neurovascular
assessment
An infant has an elevated bilirubin and the provider has requested
phototherapy at the mother's bedside. What education should the nurse
, provide to the mother regarding use of the bili lights? Select all. Right Ans -
Use an eye shield on infant, Increase oral intake to the infant, Keep infant
supine?, Protect genital area fro bili lights
Client in labor has external fetal monitor. Nurse nots late decels and interprets
them as indicating which of the following? Right Ans - Delivery of fetus is
imminent
the nurse knows that all women should perform self breast exams to ID
changes. If a woman telephones your clinic and reports a lump in her breast
what is the nurse's best response to her? Right Ans - Please make an apt to
come to the clinic. The provider will see you and discuss options after an
exam.
Pregnant client presents to L&D with no prenatal care and it is quickly
determined to ultrasound that she is 39wks gest. What lab specimens must
the nurse obtain which will direct the care given to the client. Select all.
Right Ans - Group b strep, CBC, Blood type and Rh
6wks. She has had previous spontaneous abortion at 14wks and pregnancy
that she delievered vaginally at 39wks. What is her gravidity and parity using
the GTPAL system? Right Ans - 3-1-0-1-1
a woman arrives at the clinical for pregnancy test. The first day of her last
menstrual period was july 21, 2015. What is her EDD using Naegles Rule?
Right Ans - Apr. 28, 2016
Woman presents to the ED with complaints of unilateral LQ ab pain and some
vaginal bleeding. She relates having a positive home pregnancy test 1 wk ago.
What should the nurse be concerned about with this patient? Right Ans -
She may be experiencing an ectopic pregnancy
30wk pregnant client is receiving mg sulfate for preeclampsia. Nursing
interventions that a nurse will complete while administering mg sulfate to this
patient. Select all Right Ans - provide continuous fetal monitoring, Foley
cath for urinary output
